dp Categories: Medical News Archives

Archive for the ‘ Medical News ’ Category

Can Fibroid Surgery Risk Spreading Cancer?

I know this is difficult news

For most women with Uterine Fibroids, cancer is not an issue because fibroids are essentially benign growths in the uterus that can be removed or shrunk. However, in extremely rare cases, instead of a non-cancerous growth, women may be dealing with a type of cancer known as uterine sarcoma. Unfortunately for these women, there is no definite way of knowing prior to surgery if the tumor is benign or cancerous.

Typical Fibroid Surgery

When undergoing a hysterectomy or myomectomy through the laparoscope, a device known as a morcellator breaks up tissue into tiny pieces that can then be removed through a small incision. After surgery, the study of the tissue can indicate if cancerous cells are present. When the morcellator cuts tissue to extract it, small pieces of a cancerous growth have the potential to spread.

Due to growing concern, the FDA investigated the correlation between women diagnosed with uterine sarcoma and those who have received this procedure. Through public hearings with gynecologists and manufacturers of the morcellators, the FDA has asked for further studies and for gynecologists to discuss with their patients the small possible risk involved with the use of morcellators before proceeding with surgery.

While the spread of cancer may make women want to second-guess getting treatment for fibroids, the worst thing to do is put it off. At the Fibroid Treatment Collective, we can help treat women with an alternative option for their fibroids. Embolization, a non-surgical fibroids treatment in Los Angeles, has helped women around the world achieve a fibroid-free life.

Non-Surgical Fibroid Treatment

Unlike a hysterectomy or myomectomy, which surgically remove the uterus or fibroids, fibroid embolization keeps the uterus completely intact and shrinks fibroids by removing their blood supply. In the rare case embolization fails, our team will know within a two-week period and help our patients find the cause, which may be a uterine sarcoma.  Here at the Fibroid Treatment Collective, we offer free consultations in-office or over the phone. Feel free to contact us for more information. To learn more about fibroids, visit our homepage. 

Fibroid Embolization vs. Hysterectomy

A recent article published by the AJOG looked at the results of women with fibroids who had either a hysterectomy or UAE.

A commentary in the health section of the Reuters website talked about a recent study released by the American Journal of Obstetrics & Gynecology (AJOG) which demonstrated comparable physical or mental quality of life rates reported when studying women who undergo either a hysterectomy or Uterine Artery Embolization (UAE), also known as Uterine Fibroid Embolization (UFE). Additionally, the study showed that more than 4 out of 5 women in both groups were very satisfied with the treatment they had received. This information proves as significant due to the fact that previous studies have suggested that hysterecomy may be optimal for women that want to fully and completely eradicate their fibroids; however, the results of this study suggest that embolization could be a worthwhile choice for many women, especially for those that do not want to bear a long recovery period and do want to keep their fertility options open.

The study released in AJOG followed about 150 women, most in their forties, who had uterine fibroids that hadn’t responded to medication. The women were divided up randomly – half got a hysterectomy, and the other half had UAE done.  After following this cohort of women for 5 years, the results yielded no significant difference in satisfaction of the procedure and both groups reported that their fibroids were either gone or improved.  Therefore, those women that treated their fibroids with UFE not only shared the same level of satisfaction with their procedure and the outcome, but they also had the advantage of a less invasive treatment with little risk of complication. The study further touted the effectiveness of UFE and its safe and effective approach to treatment for uterine fibroids, specifically when presented with traditional surgical options such as hysterectomy and myomectomy.

Dr. Jim Reekers, a radiologist at Amsterdam’s Academic Medical Center and one of the study’s authors, told Reuters Health , “Hysterectomies often keep a patient in the hospital for up to five or six days, and they won’t be totally back on their feet for more than a month…After embolization, women can leave the hospital in a day and be back at work within a week”.  He also included that the procedure can be “much more friendly to the patient”.  Still, Dr. Linda Bradley, the vice chair of obstetrics and gynecology at the Cleveland Clinic, shares that the type of treatment needed can often depend on factors such as the patient’s symptoms and the location of the fibroids.  This being said, she states that patients should be open about what they want and doctors have to be honest about the treatment options they provide for their patients.

SOURCE: http://www.ajog.org/article/S0002-9378(10)00079-7/abstract

 

The “Morning After Pill” and Fibroid Treatment

Dr. McLucas comments on a recent U.S. study about the effects of the ‘morning after’ progesterone contraceptive in shrinking fibroid tumors.

A recent U.S. study published in the medical literature described the effects of the ‘morning after’ progesterone contraceptive in shrinking fibroid tumors.  While the drug is still experimental, this could be a welcome addition to help treat a problem affecting 40% of women over the age of 40, and the cause of nearly 500,000 hysterectomies and fibroid removal surgeries performed each year in the United States.

We don’t know what causes fibroid tumors to grow in the uterus. We do know that fibroids are stimulated by estrogen. Women have two periods in their reproductive lives when fibroids will undergo ”growth spurts.” First, during pregnancy, fibroids will often grow with rising estrogen levels. Second, in the years leading up to the menopause, when estrogen is not produced any longer by the ovaries, the menstrual cycle is dominated by estrogen.

So it is reasonable to expect that any hormone which is an ‘anti-estrogen’ such as progesterone will decrease the growth of fibroids. In some cases, fibroids will shrink, temporarily under the influence of progesterone. We have know for years that intra-uterine devices [IUDs] containing progesterone can decrease the size of fibroid tumors. So can depo-lupron injections which create an artificial menopause while the hormone is in the blood stream. These hormones have side effects ranging from spotting to decreased sex drive, oily skin, and hot flashes which cause many women to stop taking the pills or injections. When the medicine is out of the system, fibroids regain their normal growth pattern, and may enter a period of accelerated growth!

“We believe that progesterone works by decreasing the size of the blood vessels feeding fibroids. On the other hand, Uterine artery embolization [UAE] permanently blocks the blood supply to fibroids,” according to Bruce McLucas, MD, founder of the Fibroid Treatment Collective, and Assistant Clinical Professor of Obstetrics and Gynecology at the University of California, Los Angeles. McLucas introduced UAE to the U.S. in 1994. Since then, the FTC has treated more than 5,000 women from all over the world. Many have gone on to have successful pregnancies. Embolization is an outpatient treatment allowing women to retain their fertility and return to work in a few days, rather than the months required to recover from major surgery. In addition, compared to myomectomy, the surgery where fibroids are removed and the uterus preserved, UAE allows women to breathe freely, knowing this procedure permanently treats fibroids without the risk of future recurrence,” McLucas adds.

 

Top Ten Fibroid Facts

Did you know that a large percentage of women, like you, bear the burden of dealing with uterine fibroids? Continue reading to find out more facts about fibroids and the embolization procedure.

fibroid-types Fibroids stand as a leading problem for a large portion of women. Up to 40 percent of women age 35 and older have uterine fibroids of a significant size. Furthermore, African-American women are at an even greater risk of being affected by fibroids, in which as many as 50 percent of black women have fibroids of a significant size.

Fibroid tumors may start in women when they are in their 20’s, however, most women do not begin to have symptoms until they are in their late 30’s or 40’s. In most cases, physicians are not able to predict if a fibroid will grow or cause symptoms.

Although the exact cause for fibroid development is still unclear, studies have shown that most of the women affected by fibroids are in their childbearing years. Also, African Americans develop fibroids more often and at a younger age than women of other ethnic groups.

Due to the alarming number of women that are affected by fibroids, the Fibroid Treatment Collective offers “Top 10 Things Women Should Know About Fibroids.” 

1. Uterine fibroids can affect women of all ages, but are most common in women ages 40 to 50.

2. Depending on size, location and number of fibroids, common symptoms include:

  • Pelvic pain and pressure
  • Excessive bleeding, including prolonged periods and passage of clots, which can lead to anemia.
  • Abdominal swelling
  • Pressure on the bladder, leading to frequent urination
  • Pressure on the bowel, leading to constipation and bloating
  • Infertility

3. No one is sure why women develop fibroids which affect 40% of women over 35 years in America and have a high rate of incidence among African Americans.  There is a possible link between uterine fibroid tumors and estrogen production.

4. Fibroids are diagnosed with an ultrasound in their gynecologist’s office.  Magnetic Resonance Imaging (MRI) is also used to determine how fibroids can be treated and provide information about any underlying disease.

5. Uterine fibroids can be treated with surgery, including hysterectomy, which removes the entire uterus, and myomectomy, which removes the fibroids but leaves the uterus. Both are major surgeries.

6. Approximately 600,000 hysterectomies are performed annually in the United States, about 300,000 due to uterine fibroids.

7. Over 50 percent of women who get hysterectomies have their ovaries removed, rendering them infertile.

8. Embolization has emerged as the safest, simplest, cost effective way to treat fibroids. Embolization requires a very small incision. Embolization basically cures fibroids by starving them.

9. Uterine Fibroid Embolization has an overall success rate of 94 percent.

10. Recurrence after embolization has not occurred. This is one of its major advantages over myomectomy, where fibroids which have been surgically removed often grow back.

If you have been diagnosed with fibroids or want to find out more information about fibroids and the embolization procedure, we invite you to email us at patientcoordinator@fibroids.com
or give us a call at 866-362-6463. You can also learn more by participating in our live chat Monday through Friday from 9 a.m. to 5 p.m. PST.

 

Treatment Options for Uterine Fibroids

Fibroid treatment costs exceed $21 billion a year. Learn about the most cost effective and viable treatment options available to women suffering from troublesome fibroids.

Uterine Fibroid Embolization was back in the spotlight in a recent NY Times article. Author Jane Brody gave a candid account of the experience of a close friend having trouble with uterine fibroids. Her friend had the typical symptoms associated with fibroids: heavy bleeding, iron deficiency and an enlarged uterus. Although her friend opted to do nothing and wait for menopause to shrink the fibroids (which did not happen), Ms. Brody was moved to explore and present treatment options in her article published on October 12th. Treatment options included Hysterectomy, Myomectomy, Drugs, Embolization and M.R.I. – Guided Ultrasound. Uterine Fibroid Embolization was found to be the most viable solution. Doctors stated that 80% of women with fibroids are likely candidates for the procedure and that women should ask about UFE when told surgery is the only option to correct troublesome fibroids.

Fibroid treatment costs exceed $21 billion a year, not to mention the reduced quality of life they cause. UFE is the most cost effective treatment when comparing it to hysterectomy or myomectomy and is the least invasive procedure with minimal recovery time.

 

Fibroid Education for Women

A small womens group in Pennsylvania is making fibroid education and other health issues faced by women a priority.

Fibroid education for women is becoming a priority with a small womens group in East Stroudsburg, Pennsylvania. The group, called Spirit of Women, has teamed up with the Pocono Health System to present seminars that address sensitive health issues faced by women, including fibroids and treatment alternatives that are minimally invasive.

Fibroids are the most common reason for hysterectomy in the US and many women don’t realize that there are hysterectomy alternatives available. You can read the entire article from the Pocono Record.

* Please note, articles linked to outside sources in this blog do not necessarily reflect the medical opinions of the FTC.

 

Fibroids Do Not Always Require Uterus Removal

UFE or uterine artery embolization (UAE) is a non-surgical treatment alternative to hysterectomy that takes less than one hour to complete. First performed in 1994, more than 50,000 women worldwide have been treated with the procedure.

UFE or uterine artery embolization (UAE) is a non-surgical treatment alternative to hysterectomy that takes less than one hour to complete. First performed in 1994, more than 50,000 women worldwide have been treated with the procedure. Clinical studies have shown that UFE provides substantial improvement in major symptoms, including pain, pelvic discomfort and urinary problems.

These improvements are similar to those experienced by patients who underwent hysterectomy — but without the long recovery. Significant adverse events are rare in women treated with UFE and overall adverse events are fewer — in number and severity — than in the hysterectomy group.

A five-year study shows that UFE provides long-term symptom improvement in more than 70 percent of women treated compared to fibroid recurrence rates as high as 62 percent following a myomectomy.

View from source…

Do you have questions about fibroids and uterine fibroid embolization (UFE)? Leave a comment below.

A 41-Year-Old Woman With Menorrhagia, Anemia, and Fibroids

I believe my symptoms started around the age of 30. I just remember feeling very tired all the time. I felt so tired that I really didn’t want to go out. I also had very heavy periods. As I got older, it just got worse. I progressively started to have more pain and more of the heavy bleeding. My quality of life was not there just because I was so tired all the time. So I started with the iron. But over the years, it’s just gotten progressively worse instead of better.

I knew that there were surgeries available to me. There was also some procedure to shrink the fibroid. I discussed this with my physician, and she referred me to the gynecology doctor, who in turn suggested I have surgery. So about 3 years ago, I had 11 fibroids removed. And I felt much better. But, unfortunately, they returned. Probably a year after the surgery, I started to feel once again that I was tired all the time.

I have my menstrual cycle for 5 days. I have 4 days of heavy, constant bleeding where I’m changing pads basically every hour. Then I have 1 day of very light bleeding. I have 1 week off with no symptoms. Then I start to “pre-menstruate” for 2 weeks. So I have a total of 3 weeks of this; I’m not feeling well, there’s fatigue and all the premenstrual symptoms: the bloating, the pain in the legs, the tenderness in the breasts. I don’t have the energy to do those things that I like to do, especially in the summertime, when I like to do outdoor activities. If I have really heavy bleeding or if I’m just in my cycle, I don’t want to do anything. I’d just rather stay home.

View From Source… A 41-Year-Old Woman With Menorrhagia, Anemia, and Fibroids

 

Fibroid Symptoms and Quality of Life

Uterine artery embolization for symptomatic fibroids: short-term versus mid-term changes in disease-specific symptoms, quality of life and magnetic resonance imaging results

Authors: C. Scheurig, A. Gauruder-Burmester, C. Kluner, R. Kurzeja, A. Lembcke, E. Zimmermann, B. Hamm and T. Kroencke

Hum. Reprod. Advance Access originally published online on July 27, 2006

Summary:

This study aimed to evaluate the changes in severity of symptoms and quality of life for women after uterine artery embolization. The researchers measured uterine and leiomyoma volumne post-UAE to determine if UAE is a good short and mid-term procedure.

To read more about the study

 

 

 

Outcomes Following Unilateral Uterine Artery Embolization

This study done by Dr. McLucas assesses patients that have undergone unilateral uterine artery embolization. He followed up with four of the 12 patients to see their symptoms post-operation.

Title: Outcomes following Unilateral Uterine Artery Embolization

Authors: By: Bruce McLucas, MD, Richard A Reed, MD, Scott Goodwin,MD, Arnold Rappaport, MD, Louis Adler, MD, Rita Perrella, MD, and Jerry Dalrymple,
MD BRITISH JOURNAL OF RADIOLOGY
February 2002

To read more about the article, please Click here

 

Am I a candidate for non-surgical treatment?

Click here
x